Comprehensive Receivables Management

 

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Why HealthCare Data Services?

Security, accountability and performance - three important reasons to choose HealthCare Data Services to manage your accounts receivable.

 

Since 1983 we have helped practices throughout the Midwest maximize reimbursements and enhance patient satisfaction through superior information management technology. 

 

We stand ready to offer you a highly competitive bid for your revenue cycle management - while providing you and your staff a secure "window" into your database at no additional charge - providing instant access to patient accounts.

 

McKesson's "Practice Point Manager" is the fully HIPAA compliant, Windows based practice management tool of choice for thousands of small practices nationwide.  We put this powerful system to work billing and collecting for your practice, and make our efforts viewable to you via a secure Internet connection.  If you do not have a computer, we can offer a very reasonable used system. 

 

Our billing experts and certified coders will enter your charges, generate insurance forms electronically, send patient statements and, most importantly, follow up on delinquent insurances and patients.  High reimbursement results - just ask our clients.

 

As we also install and support �in-house� systems, our technical expertise is unmatched by competitors, providing your practice with comprehensive information management options, including electronic medical records and sophisticated reporting capabilities.

 

 

We Put Technology to Work for You

 

Evaluate and Plan

First we will examine your existing route slip (super-bill, encounter form) as well as your patient registration form for completeness and accuracy.   We will help you gather your lists of setup information such as referring doctors, insurance carriers.  This information can be converted electronically in many cases. 

 

Contract Payments

A vital part of the set up data is your fee schedule.  In addition to the actual fee, HCDS will enter the allowed and expected payment amounts to facilitate substandard payment monitoring. 

 

Quick Start � Fast Returns

When possible and desirable we will convert data from an existing system.  When this is not possible, but there are receivables you would like us to work, we will enter those patients and their balances into PPM to facilitate timely collection.

 

Training Ensures Results

Our billing methodology works only when your staff understands and execute the steps we designate.  We provide guidelines and on-going support, as well as feedback to management, ensuring your financial success.

 

Fast Data Entry

Our experts enter your patient registration accurately and completely based on what you have mailed or faxed to us.   We also offer an imaging solution to facilitate scanning of documents and transmission to our office via secure Internet �FTP�.  We will enter charges within 48 hours of receipt from you.  If desired, we�ll set up a lock box to receive payments and post those payments within the same time frame.   We will enter worker�s compensation information as well as verify employment.

 

Optional Computerized Scheduling

If you want to automate your scheduling while outsourcing your billing, we�ve got the computer expertise to make it happen.  Your Internet connection(s) to our server can produce route slips and patient registration forms as well as streamline your scheduling process.  We will use the scheduling �check-in� screen to verify that we�ve received charges for all the patients checked in that day.  Notes pop up automatically to warn schedulers of patient issues and track referrals.

 

Daily Audit Process

We balance every day that transactions are entered, checking your route slips against posted charges to ensure that all have been entered accurately.  These reports are stored at HCDS and can be sent to you if desired.   A bank deposit slip is prepared and faxed to you as well.

 

Electronic Claims Submission

HealthCare Data Systems has been submitting insurance claims electronically for 10 years.  We have long been in the forefront of this important technology.  We submit to hundreds of carriers.  Every claim is sent within 24 hours and its receipt is verified electronically.  Errors are trapped and claims are resubmitted when appropriate.  We will consult with staff to eliminate mistakes � up front.

 

Insurance Follow Up

Here is the biggest difference between HCDS and the competition � follow up with carriers.   Reporting and automated processes hold carriers accountable and collect more money.  Of course we track delinquent claims, but we help you identify substandard payments as well.  We contact the carriers and report the results back to you.  When a carrier is unresponsive, we automatically send an insurance �tracer� � proven to get results.  Automated re-billing software ensures your claims will never miss another filing deadline.

 

Medical Denial Follow-Up

When denial is because the EOB claims the procedure is not medically necessary, we will call the doc or nurse to gather chart info and create a letter to send to the carrier � and send it ASAP.  Other carrier denials such as referrals or ineligibility will be followed up via telephone, documented in patient account and appropriate action taken.  If additional medical documentation is required we will determine it and obtain it from staff or the doctor.

 

Electronic Patient Statements

Patients receive a clear, very professional monthly statement from McKesson�s statement printing service.   Dunning messages that you design will print automatically.  We�ll add messages to specific patients when appropriate as well as any global practice message you wish.

 

Monthly Reports Provide New Business Perspectives

Practice Point Manager produces scores of readable and useful reports for viewing your business in a wide variety of ways.  We have produced hundreds of custom reports for our clients as well.  You get so much more than just billing � you get real information management.  We go over monthly reports with you in person for the first 3 months, then over the phone for subsequent months.   We�re always available for special needs and concerns.

 

Guaranteed Receivables Follow Up

Step-by-step we create a trap for the money that�s owed you.  Electronic claims, automated rebilling, automated �tracer� letters, substandard payment reporting and follow-up, unpaid claim follow-up, automated rollover to secondary payor and patient, and automated receipt posting all contribute to our outstanding record of excellence.

 

Communication Ensures our Accountability

We keep a computerized record of our patient/insurance carrier interactions and are happy to share them with you.  We send letters as well as make phone calls to delinquent patients.  We�ll create a list of patients that have 120+ balances for you to review.  You make the decision on which accounts to write off or turn over to collection.  We can introduce you to an excellent agency that reduces their rates for our clients, or we can work with the agency of your choice.

 

Superior Technology Services

We provide comprehensive computer network support and hardware/operating system support to hundreds of practices.  From a single PC to scores of PC�s in multi-location settings, our technical staff helps you fill the (often sizeable) gap between technology and productivity. 

 

Electronic Medical Records � Imaging Systems � In-House Systems

�Pay for performance� is the new catch phrase in reimbursement.  How will you prove the quality of care you provide?  EMR is the answer to outcomes reporting, and McKesson�s �Practice Point Chart� is the powerful, user friendly and low cost solution for smaller practices.  Installed in thousands of practices nationwide, PPC is a proven way to ensure compliance, reduce malpractice premiums and change the blizzard of paper into useful computer data.

 

The new generation of scanning systems we offer are an affordable way to save on storage costs and make documents easier to find.   Internally, we use this scanning system for all the documents you send, securing and indexing them for fast retrieval.

 

�Practice Point Manager� from McKesson is the tool we use to maximize our billing service client�s reimbursement.  If you decide to do your own billing, purchase the software and we�ll move all the data we�ve entered on your behalf to your own facility � the smoothest possible transition.  But we�re always here as the back up plan.